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Socket Shield Technique

The socket shield technique involves splitting a tooth supragingivally and removing the crown fragment. The root is divided into buccal and palatal portions. The palatal 2/3rd of the root is removed while retaining a buccal root fragment that is 1.5-2mm wide and reduced to the alveolar crest level. An implant is then placed with an optimal 1.5mm gap from the retained buccal root fragment. The technique aims to preserve ridge dimensions and soft tissue contours while allowing for immediate implant placement.

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ReshmaaRajendran
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800 views1 page

Socket Shield Technique

The socket shield technique involves splitting a tooth supragingivally and removing the crown fragment. The root is divided into buccal and palatal portions. The palatal 2/3rd of the root is removed while retaining a buccal root fragment that is 1.5-2mm wide and reduced to the alveolar crest level. An implant is then placed with an optimal 1.5mm gap from the retained buccal root fragment. The technique aims to preserve ridge dimensions and soft tissue contours while allowing for immediate implant placement.

Uploaded by

ReshmaaRajendran
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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SOCKET SHIELD PROCEDURE Tooth split supra gingivally and

TECHNIQUE crown fragment is removed.

– A GUARD ADVANTAGES:
 Minimally invasive procedure
HURZLER ET AL 2010 1  Preserve the root – maintaining hard
Root divided as 1:3 and 2:3
tissues & soft tissue contour
ratio using long shank root  No grafting required
a. Unrestorable crown resection bur  Decreased treatment duration
 Maintains tooth esthetics
I b. Tooth with or without 2
N periapical pathology
D
c. Immediate implant Palatal 2/3rd root is removed.
I
placement Width of buccal shield retained
C
is 1.5-2mm
A d. Preserves the ridge – by
T
preventing the buccal 3 DISADVANTAGES:
I
O collapse • Technically sensitive
• Displacement of buccal root fragment
N
The height of buccal shield is • Long term results – not available

C
reduced to alveolar crest level
O a. Mobile teeth and S-shaped bevel given.
N
b. Large periapical
4
T
R pathology COMPLICATIONS:
A  Implant failure
I c. Teeth out of arch  Infection
N Implant placed with optimum  Exposure of socket shield
D d. Vertical root fracture gap of 1.5mm from the shield.  Mobility of socket shield
I
e. Bisphosphonates >3mm gap – grafting done  Migration of the buccal
C
A
5 fragment
T f. Radiation therapy
I
O g. Anti coagulant therapy
N
6
Restored with crown RESHMAA.R – PG 1ST YEAR

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